Certificate Number 37514 ---------- STATE OF ILLINOIS OFFICE OF THE SECRETARY OF STATE [LOGO] TO ALL WHOM THESE PRESENTS SHALL COME GREETING: WHEREAS, Articles of Incorporation duly signed and verified of WEST SUBURBAN KIDNEY CENTER, S.C. have been filed in the Office of the Secretary of State on the 31st day of March A.D. 1969, as provided by "THE BUSINESS CORPORATION ACT" of Illinois, in force July 13, A.D. 1933. Now Therefore, I, PAUL POWELL, Secretary of State of the State of Illinois, by virtue of the powers vested in me by law, do hereby issue this certificate of incorporation and attach thereto a copy of the Articles of Incorporation of the aforesaid corporation. IN TESTIMONY WHEREOF, I hereto set my hand and cause to be affixed the Great Seal of the State of Illinois, Done at the City of Springfield this 31st day of March A.D. 1969 and of the Independence of the United States the one hundred and 93rd. /s/ Paul Powell -------------------------------- SECRETARY OF STATE [SEAL] FORM B C A 17 BEFORE ATTEMPTING TO EXECUTE THESE BLANKS BE SURE TO READ CAREFULLY THE INSTRUCTIONS ON THE BACK THEREOF [THESE ARTICLES MUST BE FILED IN DUPLICATE] ---------------------------- (Do not write in this space) STATE OF ILLINOIS } Date Paid 3-31-69 } ss. Initial License Fee $ .60 COOK COUNTY } Franchise Tax $ 133.34 Filing Fee $ 75.00 TO PAUL POWELL, Secretary of State: Clerk [SIGNATURE ILLEGIBLE] ---------------------------- The undersigned, ------------------------------------------------------------------------------ Address Name Number Street City State ------------------------------------------------------------------------------ Robert C. Muehrcke c/o West Suburban Hospital 518 N, Austin, Oak Park, Ill. ------------------------------------------------------------------------------ Arthur Gene Lawrence c/o West Suburban Hospital 518 N, Austin, Oak Park, Ill. ------------------------------------------------------------------------------ Joseph B. Moles c/o West Suburban Hospital 518 N, Austin, Oak Park, Ill. ------------------------------------------------------------------------------ being one or more natural persons of the age of twenty-one years or more or a corporation, and having subscribed to shares of the corporation to be organized pursuant hereto, for the purpose of forming a corporation under "The Business Corporation Act" of the State of Illinois, do hereby adopt the following Articles of Incorporation: ARTICLE ONE The name of the corporation hereby incorporated is: WEST SUBURBAN KIDNEY CENTER, S.C. ARTICLE TWO The address of its initial registered office in the State of Illinois is: Suite 711, 209 S. LaSalle Street in the City of Chicago, (80604), County of ------------------------- ---- ------- ----- (Zip Code) Cook and the name of its initial Registered Agent at said address is: Jerry M. ---- -------- Reinsdorf --------- ARTICLE THREE The duration of the corporation is: perpetual ----------------------------------------- ARTICLE FOUR THE PURPOSE OR PURPOSES FOR WHICH THE CORPORATION IS ORGANIZED ARE: Medical Corporation: To own, operate and maintain an establishment for the study, diagnosis and treatment of human ailments and injuries, whether physical or mental, and to promote medical, surgical and scientific research and knowledge: provided that medical or surgical treatment, consultation or advice may be given by employees of the corporation only if there are licensed pursuant to the Medical Practice Act. ARTICLE FIVE Paragraph 1: The aggregate number of shares which the corporation is authorized to issue 10,000 divided into 3 (three) classes. The designation of each class, ------ --------- the number of shares of each class, and the par value, if any, of the shares of each class, or a statement that the shares of any class are without par value, are as follows: Series Number of Par value per share or statement that shares Class (If any) Shares are without par value common 10,000 $1.00 Paragraph 2: The preferences, qualifications, limitations, restrictions and the special or relative rights in respect of the shares of each class are: NONE ARTICLE SIX The class and number of shares which the corporation proposes to issue without further report to the Secretary of State, and the consideration (expressed in dollars) to be received by the corporation therefor, are: Total consideration to be Class of shares Number of shares received therefor: common 1,200 $ 1,200 $ ARTICLE SEVEN The corporation will not commence business until at least one thousand dollars has been received as consideration for the issuance of shares. ARTICLE EIGHT The number of directors to be elected at the first meeting of the shareholders is: three ------- ARTICLE NINE Paragraph 1: It is estimated that the value of all property to be owned by the corporation for the following year wherever located will be $__________ Paragraph 2: It is estimated that the value of the property to be located within the State of Illinois during the following year will be $____________ Paragraph 3: It is estimated that the gross amount of business which will be transacted by the corporation during the following year will be $__________ Paragraph 4: It is estimated that the gross amount of business which will be transacted at or from places of business in the State of Illinois during the following year will be $___________ . The corporation elects to pay the initial franchise tax on the basis of its entire stated capital of the corporation. NOTE: If all the property of the corporation is to be located in this State and all of its business is to be transacted at or from places of business in this State, or if the incorporators elect to pay the initial franchise tax on the basis of its entire stated capital and paid-in surplus, then the information called for in Article Nine need not be stated. [SIGNATURE ILLEGIBLE] ---------------------------------- __________________________________ [SIGNATURE ILLEGIBLE] ---------------------------------- __________________________________} Incorporators [SIGNATURE ILLEGIBLE] ---------------------------------- __________________________________ __________________________________ NOTE: There may be one or more incorporators. Each incorporator shall be either a corporation, domestic or foreign, or a natural person of the age of twenty-one years or more. If a corporation acts as incorporator, the name of the corporation and state of incorporation shall be shown and the execution must be by its President or Vice-President and verified by him, and the corporate seal shall be affixed and attested by its Secretary or an Assistant Secretary. OATH AND ACKNOWLEDGMENT STATE OF ILLINOIS ) ss. COOK County ) [SIGNATURE ILLEGIBLE]. A Notary Public, do hereby certify that on the 28th day of March 1969 Robert C. Muehrcke, Arthur Gene Lawrence and Joseph B. Moles personally appeared before me and being first duly sworn by me acknowledged the signing of the foregoing document in the respective capacities therein set forth and declared that the statements therein contained are true. IN WITNESS WHEREOF, I have hereunto set my hand and seal the day and year above written. Place [SIGNATURE ILLEGIBLE] ---------------------------------- (NOTARIAL SEAL) Notary Public Here FORM B C A-17 ================================================================================ ARTICLES OF INCORPORATION WEST SUBURBAN KIDNEY CENTER, S.C. ================================================================================ The following fees are required to be paid at the time of issuing certificate of incorporation: Filing fee, $75.00: Initial license fee of 50c per $1,000.00 or 1/20th of 1% of the amount of stated capital and paid-in surplus the corporation proposes to issue without further report Article Six: Initial franchise tax of 1/10th of 1% of the issued, as above noted. However, the minimum initial franchise tax is $100.00 and varies monthly on $100.000, or lees, as follows: January, $150.00: February, ???, March, $133.33: April, $125.00: May, $116.67, June, ???: July, $100.00: August, $91.47: September, $83.34: October, $75.00: November, $66.67: December, $54.34. (See Ser. 133 BCA). In excess of $100.000 the franchise tax per $1,000.00 is as follows: Jan, $1.50: Feb, 1.4167: March, 1.3334: April, 1.25, May, 1.1667: June, 1.0834: July, $1.00: Aug, .9167: Sept, .8334: Oct. .75, Nov. 6667: Dec. 5834. All shares issued in excess of the amount mentioned in Article Six of this application must be reported within 60 days from date of issuance thereof and franchise tax and license fee paid thereon: otherwise, the corporation is subject to a penalty of 1% for each month on the amount until reported and subject to a time of not to exceed $500.00. The same fees are required for a subsequent issue of shares except the filing fee is $1.00 instead of $75.00. [SIGNATURE ILLEGIBLE] ================================================================================ Secretary of State File Number 4947-719-8 --------------- STATE OF ILLINOIS OFFICE OF THE SECRETARY OF STATE [LOGO] WHEREAS, ARTICLES OF AMENDMENT TO THE ARTICLES OF INCORPORATION OF WEST SUBURBAN KIDNEY CENTER, S.C. INCORPORATED UNDER THE LAWS OF THE STATE OF ILLINOIS HAVE BEEN FILED IN THE OFFICE OF THE SECRETARY OF STATE AS PROVIDED BY THE BUSINESS CORPORATION ACT OF ILLINOIS, IN FORCE JULY 1, A.D. 1984. Now Therefore, I, George H. Ryan, Secretary of State of the State of Illinois, by virtue of the powers vested in me by law, do hereby issue this certificate and attach hereto a copy of the Application of the aforesaid corporation. IN TESTIMONY WHEREOF, I hereto set my hand and cause to be affixed the Great Seal of the State of Illinois, at the City of Springfield, this 27TH day of FEBRUARY A.D. 1992 and of the Independence of the United States the two hundred and 16TH. /s/ George H. Ryan ------------------------------ SECRETARY OF STATE [SEAL] Form BCA-10.30 ARTICLES OF AMENDMENT (Rev. Jan. 1991) File # 4947-719-8 - -------------------------------------------------------------------------------- George H. Ryan SUBMIT IN DUPLICATE Secretary of State Department of Business Services --------------------------- Springfield, IL 62756 Telephone (217) 782-6961 This space for use by Secretary of State - ------------------------------------ Date 2-27-92 Franchise Tax $ Filing Fee $ 25 remit payment in check or money Penalty $ order, payable to "Secretary of State" Approved: - -------------------------------------------------------------------------------- 1. CORPORATE NAME: West Suburban Kidney Center, S.C ------------------------------------------------------------- (Note 1) 2. MANNER OF ADOPTION: The following amendment of the Articles of Incorporation was adopted on February 20, 1992 in the manner indicated below. ("X" one box only) [_] By a majority of the incorporators, provided no directors were named in the articles of incorporation and no directors have been elected; or by a majority of the board of directors, in accordance with Section 10.10, the corporation having issued no shares as of the time of adoption of this amendment; (Note 2) [_] By a majority of the board of directors, in accordance with Section 10.15, shares having been issued by shareholder action not being required for the adoption of the amendment; (Note 3) [_] By the shareholders, in accordance with Section 10.20, a resolution of the board of directors having been duly adopted and submitted to the shareholders. At a meeting of shareholders, not less than the minimum number of votes required by statute and by the articles of incorporation were voted in favor of the amendment; (Note 4) [_] By the shareholders, in accordance with Sections 10.20 and 7.10, a resolution of the board of directors having been duly adopted and submitted to the shareholders. A consent in writing has been signed by shareholders having not less than the minimum number of votes required by statute and by the articles of incorporation. Shareholders who have not consented in writing have been given notice in accordance with Section 7.10; (Note 4) [X] By the shareholders, in accordance with Sections 10.20 and 7.10, a resolution of the board of directors having been duly adopted and submitted to the shareholders. A consent in writing has been signed by all the shareholders entitled to vote on this amendment; (Note 4) (INSERT AMENDMENT) (Any article being amended is required to be set forth in its entirety.) (Suggested language for an amendment to change the corporate name is RESOLVED, that the Articles of Incorporation be amended to read as follows:) - -------------------------------------------------------------------------------- (NEW NAME) All changes other than name, include on page 2 (over) Resolution RESOLVED, that paragraphs 1 and 2 of Article V of the Articles of Incorporation of this corporation are hereby changed and amended to read as follows: PARAGRAPH 1: The aggregate number of shares which the corporation is authorized to issue is 10,010,000 divided into two (2) classes. The designation of each class, the number of shares of each class, and the par value, if any, of the shares of each class, or a statement that the shares of any class are without par value, are as follows: PAR VALUE PER SHARE OR SERIES NUMBER STATEMENT THAT SHARES CLASS (if any) OF SHARES ARE WITHOUT PAR VALUE - ----- -------- --------- ---------------------- COMMON NONE 10,000 $1.00 par value per share CLASS A NONE 10,000,000 $1.00 par value per share PREFERRED PARAGRAPH 2: The preference, qualification, limitations, restrictions, and the special or relative rights in respect to the shares of each class are: The stated capital of the Corporation shall be at least equal to the sum of the aggregate par value of all issued shares having par value, plus such amounts as from time to time by resolution of the Board of Directors may be transferred thereto. Upon dissolution, whether voluntary or involuntary, or upon the insolvency, liquidation or distribution of the assets of the Corporation, the holders of the Class A Preferred Stock shall be first entitled to receive out of the net assets of the Corporation, the par value of $1.00 per share. All of the other assets if there are any, shall be distributed among the holders of shares of the Common Stock. Class A Preferred Stock of the Corporation shall be non-voting at all times. 3. The manner in which any exchange, reclassification or cancellation of issued shares, or a reduction of the number of authorized shares of any class below the number of issued shares of that class, provided for or effected by this amendment, is as follows: (if not applicable, insert "No change") No Change 4. (a) The manner in which said amendment effects a change in the amount of paid-in capital (Paid-in capital replaces the terms Stated Capital and Paid-in Surplus and is equal to the total of these accounts) is as follows: (if not applicable, insert "No change") No Change (b) The amount of paid-in capital (Paid-in Capital replaces the terms Stated Capital and Paid-in Surplus and is equal to the total of these accounts) as changed by this amendment is as follows: (If not applicable, insert "No change") No Change Before Amendment After Amendment Paid-in Capital $_______________ $______________ (Complete either Item 5 or 6 below) 5. The undersigned corporation has caused this statement to be signed by its duly authorized officers, each of whom affirms, under penalties of perjury, that the facts stated herein are true. Dated 2/20 1992 West Suburban Kidney Center, S.C. --------------------------, -- --------------------------------- (Exact Name of Corporation) attested by /s/ Paul Balter by /s/ Arthur Morris --------------------------- ------------------------------- (Signature of Secretary or (Signature of President or Assistant Secretary) Vice President) Paul Balter, Secretary Arthur Morris, President ---------------------------- --------------------------------- (Type or Print Name and Title) (Type or Print Name and Title) 6. If amendment is authorized by the incorporators, the incorporators must sign below. OR If amendment is authorized by the directors and there are no officers, then a majority of the directors or such directors as may be designated by the board, must sign below. The undersigned affirms, under the penalties of perjury, that the facts stated herein are true. Dated_______________________, 19__ __________________________________ ____________________________________ __________________________________ ____________________________________ __________________________________ ____________________________________ __________________________________ ____________________________________ NOTES and INSTRUCTIONS NOTE 1: State the true exact corporate name as it appears on the records of the office of the Secretary of State, BEFORE any amendments herein reported. NOTE 2: Incorporators are permitted to adopt amendments ONLY before any shares have been issued and before any directors have been named or elected. ((S) 10.10) NOTE 3: Directors may adopt amendments without shareholder approval in only six instances, as follows: (a) to remove the names and addresses of directors named in the articles of incorporation; (b) to remove the name and address of the initial registered agent and registered office, provided a statement pursuant to (S) 5.10 is also filed; (c) to split the issued whole shares and unissued authorized shares by multiplying them by a whole number, so long as no class or series is adversely affected thereby; (d) to change the corporate name by substituting the word "corporation", "incorporated", "company", "limited", or the abbreviation "corp.", "inc.", "co.", or "ltd." for a similar word or abbreviation in the name, or by adding a geographical attribution to the name; (e) to reduce the authorized shares of any class pursuant to a cancellation statement filed in accordance with (S) 9.05. (f) to restate the articles of incorporation as currently amended. ((S) 10.15) NOTE 4: All amendments not adopted under (S) 10.10 or (S) 10.15 require (1) that the board of directors adopt a resolution setting forth the proposed amendment and (2) that the shareholders approve the amendment. Shareholder approval may be (1) by vote at a shareholders' meeting (either annual or special) or (2) by consent, in writing, without a meeting. To be adopted, the amendment must receive the affirmative vote or consent of the holders of at least 2/3 of the outstanding shares entitled to vote on the amendment (but if class voting applies, then also at least a 2/3 vote within each class is required). The articles of incorporation may supercede the 2/3 vote requirement by specifying any smaller or larger vote requirement not less than a majority of the outstanding shares entitled to vote and not less than a majority within each class when class voting applies. ((S) 10.20) NOTE 5: When shareholder approval is by consent, all shareholders must be given notice of the proposed amendment at least 5 days before the consent is signed. If the amendment is adopted, shareholders who have not signed the consent must be promptly notified of the passage of the amendment. ((S)(S) 7.10 & 10.20) File Number 4947-719-8 ----------- STATE OF ILLINOIS OFFICE OF THE SECRETARY OF STATE [LOGO] WHEREAS, ARTICLES OF AMENDMENT TO THE ARTICLES OF INCORPORATION OF WEST SUBURBAN KIDNEY CENTER, S.C. INCORPORATED UNDER THE LAWS OF THE STATE OF ILLINOIS HAVE BEEN FILED IN THE OFFICE OF THE SECRETARY OF STATE AS PROVIDED BY THE BUSINESS CORPORATION ACT OF ILLINOIS, IN FORCE JULY ,. A.D. 1984. Now Therefore, I, George H. Ryan, Secretary of State of the State of Illinois, by virtue of the powers vested in me by law, do hereby issue this certificate and attach hereto a copy of the Application of the aforesaid corporation. IN TESTIMONY WHEREOF, I hereto set my hand and cause to be affixed the Great Seal of the State of Illinois, at the City of Springfield, this 26th day of April A.D. 1993 and of the Independence of the United States the two hundred and 17th. George H Ryan [SEAL] ------------------------------------- SECRETARY OF STATE Form BOA-10.30 ARTICLES OF AMENDMENT File# D 4947-719-8 (Rev. Jan. 1991) - --------------------------------------------------------------------------------------------------------- George H. Ryan SUBMIT IN DUPLICATE ------------------------------------- Secretary of State Department of Business Services This space for use by Springfield, IL 62756 Secretary of State Telephone (217) 782-1832 Date 4-26-93 - ---------------------------------------- Franchise Tax $ Remit payment in check or money Filing Fee $ 25.00 order, payable to "Secretary of State." Penalty $ Approved: [SIGNATURE ILLEGIBLE] - --------------------------------------------------------------------------------------------------------- 1. CORPORATE NAME: West Suburban Kidney Center, S.C. ---------------------------------------------------------- (Note 1) 2. MANNER OF ADOPTION AND TEXT OF AMENDMENT: The following amendment of the Articles of Incorporation was adopted on November 30, 1992 in the manner indicated below. ("X" one box only) [_] By a majority of the incorporators, provided no directors were named in the articles of incorporation and no directors have been elected; or by a majority of the board of directors, in accordance with Section 10.10, the corporation having issued no shares as of the time of adoption of this amendment; (Note 2) [_] By a majority of the board of directors, in accordance with Section 10.15, shares having been issued but shareholder action not being required for the adoption of the amendment; (Note 3) [_] By the shareholders, in accordance with Section 10.20, a resolution of the board of directors having been duly adopted and submitted to the shareholders. At a meeting of shareholders, not less than the minimum number of votes required by statute and by the articles of incorporation were voted in favor of the amendment; (Note 4) [_] By the shareholders, in accordance with Sections 10.20 and 7.10, a resolution of the board of directors having been duly adopted and submitted to the shareholders. A consent in writing has been signed by shareholders having not less than the minimum number of votes required by statute and by the articles of incorporation. Shareholders who have not consented in writing have been given notice in accordance with Section 7.10; (Note 4) [X] By the shareholders, in accordance with Sections 10.20 and 7.10, a resolution of the board of directors having been duly adopted and submitted to the shareholders. A consent in writing has been signed by all the shareholders entitled to vote on this amendment. (Note 4) When amendment effects a name change, insert the new corporate name below. Use Page 2 for all other amendments. Article 1: The name of the corporation is: 3x - -------------------------------------------------------------------------------- (NEW NAME) All changes other than name, include on page 2 (over) TEXT OF AMENDMENT (Any article being amended is required to be set forth in its entirety) RESOLVED, that paragraph 1 of Article V of the Articles of Incorporation of this corporation is hereby changed and amended to read as follows: PARAGRAPH 1: The aggregate number of shares which the corporation is authorized to issue is 15,010,000 divided into two (2) classes. The designation of each class, the number of shares of each class, and the par value, if any, of the shares of each class, or a statement that the shares of any class are without par value, are as follows: PAR VALUE PER SHARE OR SERIES NUMBER STATEMENT THAT SHARES CLASS (if any) OF SHARES ARE WITHOUT PARE VALUE - ---------- ---------- ------------- -------------------------- COMMON NONE 10,000 $1.00 par value per share CLASS A PREFERRED NONE 15,000,000 $1.00 par value per share 3. The manner in which any exchange, reclassification or cancellation of issued shares, or a reduction of the number of authorized shares of any class below the number of issued shares of that class, provided for or effected by this amendment, is as follows: (if not applicable, insert "No change") No Change 4. (a) The manner in which said amendment effects a change in the amount of paid-in capital (Paid-in capital replaces the terms Stated Capital and Paid-in Surplus and is equal to the total of these accounts) is as follows: (if not applicable, insert "No change") No Change (b) The amount of paid-in capital (Paid-in Capital replaces the terms Stated Capital and Paid-in Surplus and is equal to the total of these accounts) as changed by this amendment is as follows: (If not applicable, insert "No change") No Change Before Amendment After Amendment Paid-in Capital $_______________ $______________ (Complete either Item 5 or 6 below) 5. The undersigned corporation has caused this statement to be signed by its duly authorized officers, each of whom affirms, under penalties of perjury, that the facts stated herein are true. Dated November 30 1992 WEST SUBURBAN KIDNEY CENTER, S.C. ---------------------------, ----- --------------------------------- (Exact Name of Corporation) attested by (pb) /s/ Paul Balter by (amm) Arthur M. Morris ------------------------------ ------------------------------- (Signature of Secretary or (Signature of President or Assistant Secretary) Vice President) Paul Balter, M.D., Secretary Arthur M. Morris, M.D., President ------------------------------ --------------------------------- (Type or Print Name and Title) (Type or Print Name and Title) 6. If amendment is authorized by the incorporators, the incorporators must sign below. OR If amendment is authorized by the directors and there are no officers, then a majority of the directors or such directors as may be designated by the board, must sign below. The undersigned affirms, under the penalities of perjury, that the facts stated herein are true. Dated _______________________, 19__ ___________________________________ __________________________________ ___________________________________ __________________________________ ___________________________________ __________________________________ ___________________________________ __________________________________ NOTES AND INSTRUCTIONS NOTE 1: State the true exact corporate name as it appears on the records of the office of the Secretary of State, BEFORE any amendments herein reported. NOTE 2: Incorporators are permitted to adopt amendments ONLY before any shares have been issued and before any directors have been named or elected. ((S) 10.10) NOTE 3: Directors may adopt amendments without shareholder approval in only six instances, as follows: (a) to remove the names and addresses of directors named in the articles of incorporation; (b) to remove the name and address of the initial registered agent and registered office, provided a statement pursuant to (S) 5.10 is also filed; (c) to split the issued whole shares and unissued authorized shares by multiplying them by a whole number, so long as no class or series is adversely affected thereby; (d) to change the corporate name by substituting the word "corporation", "incorporated", "company", "limited", or the abbreviation "corp.", "inc.", "co.", or "ltd." for a similar word or abbreviation in the name, or by adding a geographical attribution to the name; (e) to reduce the authorized shares of any class pursuant to a cancellation statement filed in acccordance with (S) 9.05. (f) to restate the articles of incorporation as currently amended. ((S) 10.15) NOTE 4: All amendments not adopted under (S) 10.10 or (S) 10.15 require (1) that the board of directors adopt a resolution setting forth the proposed amendment and (2) that the shareholders approve the amendment. Shareholder approval may be (1) by vote at a shareholders' meeting (either annual or special) or (2) by consent, in writing, without a meeting. To be adopted, the amendment must receive the affirmative vote or consent of the holders of at least 2/3 of the outstanding shares entitled to vote on the amendment (but if class voting applies, then also at least 2/3 vote within each class is required). The articles of incorporation may supercede the 2/3 vote requirement by specifying any smaller or larger vote requirement not less than a majority of the outstanding shares entitled to vote and not less than a majority within each class when class voting applies. ((S) 10.20) NOTE 5: When shareholder approval is by consent, all shareholders must be given notice of the proposed amendment at least 5 days before the consent is signed. If the amendment is adopted, shareholders who have not signed the consent must be promptly notified of the passage of the amendment. ((S)(S) 7.10 & 10.20) The filing fee for articles of amendment - $25.00 The filing fee for restated articles - $100.00. STATE OF ILLINOIS Office of The Secretary of State Whereas, ARTICLES OF AMENDMENT TO THE ARTICLES OF INCORPORATION OF WEST SUBURBAN KIDNEY CENTER, S.C. INCORPORATED UNDER THE LAWS OF THE STATE OF ILLINOIS HAVE BEEN FILED IN THE OFFICE OF THE SECRETARY OF STATE AS PROVIDED BY THE BUSINESS CORPORATION ACT OF ILLINOIS, IN FORCE JULY 1, A.D. 1984. Now Therefore, I, George H. Ryan, Secretary of State of the State of Illinois, by virtue of the powers vested in me by law, do hereby issue this certificate and attach hereto a copy of the Application of the aforesaid corporation. In Testimony Whereof, I hereto set my hand and cause to be affixed the Great Seal of the State of Illinois, at the City of Springfield, this 11TH day of APRIL A.D. 1996 and of the Independence of the United States the two hundred and 20TH. /s/ George H. Ryan -------------------------- Secretary of State [SEAL] Form BCA-10.30 ARTICLES OF AMENDENT (Rev. Jan. 1995 File # 4947-719-8 - -------------------------------------------------------------------------------- George H Ryan SUBMIT IN DUPLICATE Secretary of State Department of Business Servics FILED This space for use by Springfield, IL 62756 Secretary of State Telephone (217) 782-1832 April 11 1996 Date 04-11-96 - ------------------------------- Remit payment in check or money Franchise Tax $ order, payable to "Secretary George H. Ryan Filing Fee* $25.00 of State." Secretary of State Penalty $ *The filing fee for articles of amendment. $25.00 Approved: - -------------------------------------------------------------------------------- 1. CORPORATE NAME: West Suburban Kidney Center, S.C. ------------------------------------------------------------ (Note 1) 2. MANNER OF ADOPTION OF AMENDMENT: The following amendment of the Articles of Incorporation was adopted on 10-1-1995 in the manner indicated below. ("X" one box only) [_] By a majority of the incorporators, provided no directors were named in the articles of incorporation and no directors have been elected; (Note 2) [_] By a majority of the board of directors, in accordance with Section 10.10, the corporation having issued no shares as of the time of adoption of this amendment; (Note 2) [_] By a majority of the board of directors, in accordance with Section 10.15, shares having been issued but shareholder action not being required for adoption of the amendment; (Note 3) [_] By the shareholders, in accordance with Section 10.20, a resolution of the board of directors having been duly adopted and submitted to the shareholders. At a meeting of shareholders, not less than the minimum number of votes required by statue and by the articles of incorporation were voted in favor of the amendment; (Note 4) [_] By the shareholders, in accordance with Sections 10.20 and 7.10, a resolution of the board of the directors having been duly adopted and submitted to the shareholders. A consent in writing has been signed by shareholders having not less than the minimum number of votes required by statue and by the articles of incorporation. Shareholders who have not consented in writing have been given notice in accordance with Section 7.10; (Note 4 & 5) [x] By the shareholders, in accordance with Sections 10.20 and 7.10, a resolution of the board of directors having been duly adopted and submitted to the shareholders. A consent in writing has been signed by all the shareholders entitled to vote on this amendment. 3. TEXT OF AMENDMENT: a. When amendment effects a name change, insert the new corporate name below. Use Page 2 for all other amendments. Article 1: The Name of the corporation is: WSKC Dialysis Services, Inc. - -------------------------------------------------------------------------------- (NEW NAME) All changes other than the name, include on page 2 (over) TEXT OF AMENDMENT b. (if amendment affects the corporate purpose, the amended purpose is required to be set forth in its entirety. If there is not sufficient space to do so, add one or more sheets of this size.) RESOLVED, that Article Four of the Corporation's Articles of Incorporation is hereby amended to read as follows: "The purpose or purposes for which the corporation is organized are: Maintain and conduct any and every kind of sales, distribution, leasing, investment, and service business; to manufacture, process, fabricate, rebuild, service, invest in, purchase, sell, lease or otherwise dispose of and generally deal in and with raw materials, products, wares, goods, merchandise and real and personal property, both tangible and intangible, of every kind and description; to make investments of every kind and nature; and to provide services of every kind and character. To acquire, own, use, convey and otherwise dispose of and deal in real property. The corporation elects to be governed by the Business Corporation Act and will not engage in the practice of medicine. Page 2 4. The manner, if not set forth in Article 3b, in which any exchange, reclassification or cancellation of issued shares, or a reduction of the number of authorized shares of any class below the number of issued shares of that class, provided for or effected by this amendment, is as follows: (If not applicable, insert "No change") No Change 5. (a) The manner, if not set forth in Article 3b, in which said amendment effects a change in the amount of paid-in capital (Paid-in capital replaces the terms Stated Capital and Paid-in Surplus and is equal to the total of these accounts) is as follows: (If not applicable, insert "No change") No Change (b) The amount of paid-in capital (Paid-in Capital replaces the terms Stated Capital and Paid-in Surplus and is equal to the total of these accounts) as changed by this amendment is as follows: (If not applicable, insert "No change") No Change Before Amendment After Amendment Paid-in Capital $____________ $_____________ (Complete either item 6 or 7 below. All signatures must be in BLACK INK.) --------- 6. The undersigned corporation has caused this statement to be signed by its duly authorized officers, each of whom affirms, under penalties of perjury, that the facts stated herein are true. Dated October 1, 1995 WEST SUBURBAN KIDNEY CENTER, S.C. ------------- ---- ----------------------------------- (Exact Name of Corporation at date of execution) attested by /s/ Paul Balter by /s/ Arthur M. Morris ------------------------ --------------------------------- (Signature of Secretary (Signature of President or or Assistant Secretary) Vice President) Paul Balter, M.D., Secretary Arthur M. Morris, M.D., President ---------------------------- ----------------------------------- (Type or Print Name and (Type or Print Name and Title) Title) 7. If amendment is authorized pursuant to Section 10.10 by the incorporators, the incorporators must sign below, and type or print name and title. OR If amendment is authorized by the directors pursuant to Section 10.10 and there are no officers, then a majority of the directors or such directors as may be designated by the board, must sign below, and type or print name and title. The undersigned affirms, under the penalties of perjury, that the facts stated herein are true. Dated__________________________, 19__ _____________________________________ ___________________________________ _____________________________________ ___________________________________ _____________________________________ ___________________________________ _____________________________________ ___________________________________ Page 3 NOTES and INSTRUCTIONS NOTE 1: State the true exact corporate name as it appears on the records of the office of the Secretary of State, BEFORE any amendments herein reported. NOTE 2: Incorporators are permitted to adopt amendments ONLY before any shares have been issued and before any directors have been named or elected. ((S)10.10) NOTE 3: Directors may adopt amendments without shareholder approval in only seven instances, as follows: (a) to remove the names and addresses of directors named in the articles of incorporation; (b) to remove the name and address of the initial registered agent and registered office, provided a statement pursuant to (S) 5.10 is also filed; (c) to increase, decrease, create or eliminate the par value of the shares of any class, so long as no class or series of shares is adversely affected. (d) to split the issued whole shares and unissued authorized shares by multiplying them by a whole number, so long as no class or series is adversely affected thereby; (e) to change the corporate name by substituting the word "corporation", "incorporated", "company", "limited", or the abbreviation "corp", "inc", "co", or "ltd", for a similar word or abbreviation in the name , or by adding a geographical attribution to the name; (f) to reduce the authorized shares of any class pursuant to a cancellation statement filed in accordance with (S) 9.05, (g) to restate the articles of incorporation as currently amended. ((S) 10.15) NOTE 4: All amendments not adopted under (S) 10.10 or (S) 10.15 require (1) that the board of directors adopt a resolution setting forth the proposed amendment and (2) that the shareholders approve the amendment. Shareholder approval may be (1) by vote at a shareholder's meeting (either annual or special) or (2) by consent, in writing, without a meeting. To be adopted, the amendment must receive the affirmative vote or consent of the holders of at least 2/3 of the outstanding shares entitled to vote on the amendment (but if class voting applies, then also at least a 2/3 vote within each class is required). The articles of incorporation may supersede the 2/3 vote requirement by specifying any smaller or larger vote requirement not less than a majority of the outstanding shares entitled to vote and not less than a majority within each class when class voting applies. ((S)10.20) NOTE 5: When shareholder approval is by consent, all shareholders must be given notice of the proposed amendment at least 5 days before the consent is signed. If the amendment is adopted, shareholders who have not signed the consent must be promptly notified of the passage of the amendment. ((S) (S) 7.10 & 10.20) Page 4 PLEASE TYPE OR PRINT CLEARLY IN BLACK INK FILING DEADLINE IS: PRIOR TO 03/01/91 ------------------ RETURN TO: STATE OF ILLINOIS CORPORATION Department of Business Services DOMESTIC CORPORATION ANNUAL REPORT FILE NO. Secretary of State D 4947-719-8 Springfield IL. 62756 Telephone (217) 782-7808 YEAR OF 1991 1.) CORPORATE NAME WEST SUBURBAN KIDNEY CENTER, S.C. REGISTERED AGENT C/O ALLAN S FINGER 062686 REGISTERED OFFICE 30 N LASALLE STREET COOK CITY, IL, ZIP CODE CHICAGO, IL. 60602-2502 2.) AGENT/OFFICE CHANGES ONLY (see 11h) 3.) Date Incorporated 03/31/1969 WEST SUBURBAN KIDNEY CENT ---------------------------------- Corporation Name Give complete address of principal office, if other than above: David J. Hochman ---------------------------------- 101 N. Scoville Registered Agent Oak Park, IL 60302 30 N LaSalle Street ---------------------------------- Registered Office - Street Address Federal Employer identification Number Chicago, Cook, IL 60602-2502 ---------------------------------- (FEIN) * 362668594 City, County, IL Zip Code 4.) The names and addresses of the officers and directors are: (if officers are directors, so state.) NAME OFFICE NUMBER & STREET CITY STATE ZIP - ----------------------------------------------------------------------------------------------------------------------------- Arthur M. Morris President 101 N SCOVILLE, OAK PARK, IL 60301 - ----------------------------------------------------------------------------------------------------------------------------- Paul Balter Secretary " - ----------------------------------------------------------------------------------------------------------------------------- Paul Balter Treasurer " - ----------------------------------------------------------------------------------------------------------------------------- Director SEE ATTACHED SCHEDULE FOR DIRECTORS - ----------------------------------------------------------------------------------------------------------------------------- Director - ----------------------------------------------------------------------------------------------------------------------------- Director - ----------------------------------------------------------------------------------------------------------------------------- 5.) The type of business actually conducted in Illinois is: to provide professional medical services 6.) Number of shares authorized and issued (as of 12/31/90) CLASS SERIES PAR VALUE NUMBER AUTHORIZED NUMBER ISSUED - ----------------------------------------------------------------------------------------------------------------------------- PAR STOCK none $1.00 10000 1,200 - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- 7a.) The amount of paid-in capital as of 12/31/90 7b.) The Paid-in Capital as of 12/31/90 is: on record with the Secretary of State is: *PAID-IN CAPITAL $1,200,00 TOTAL $1,200 -------------- ----------- ** "Paid-in Capital" replaces the terms (The figure in item 7b may not be altered.) Stated Capital and Paid-in Surplus It does not include Retained Earnings. ==================================================================================================================================== ITEM 8 MUST BE SIGNED Under the penalty of perjury and as an authorized officer, I declare that this annual report and, if applicable, the statement of change of registered agent and/or office, pursuant to provisions of the Business Corporation Act, has been examined by me and is, to the best of my know- 8.) By (amm) /s/ Arthur M. Morris Pres 2/5/91 ledge and belief, true, correct, and complete. ----------------------------------------------------- (Any Authorized Officer's Signature) (Title) (Date) ====================================================================================================================================